| NPI | 1063077188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY J VAUGHN Reimbursement Analyst 240-595-6025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |